| Academy For Behavioral Change | |
|
6720 54th Ave N St Petersburg FL 33709-1402 | |
| (727) 547-4508 | |
| (727) 547-4517 |
| Full Name | Academy For Behavioral Change |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6720 54th Ave N, St Petersburg, Florida |
| Authorized Official Name and Position | Nancy Hamilton (CEO) |
| Authorized Official Contact | 7275457564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Academy For Behavioral Change 6720 54th Ave N St Petersburg FL 33709-1402 Ph: (727) 547-4508 | Academy For Behavioral Change 6720 54th Ave N St Petersburg FL 33709-1402 Ph: (727) 547-4508 |
| NPI Number | 1063572659 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063572659 | NPI | - | NPPES |
| 77246 | Other | FL | NON PAR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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